[Upper gastrointestinal hemorrhage caused by necrotizing cholecystitis with gallstone perforation into the duodenum].
A 68-year-old woman suffering from severe upper gastrointestinal bleeding underwent an urgent laparotomy. A necrotizing cholecystitis was found. The source of the bleeding was the eroded cystic artery. Perforation of a giant gallstone led to a fistula into the duodenum. The gallstone was removed from the distal jejunum. The patient's postoperative course was uneventful. Later on a choledochal stenosis had to be treated by stenting. One year after the procedure the patient is alive and well.
Meier
K
K
Abteilung für Allgemeine Chirurgie, Universitätsklinikum Essen-GHS.
Krause
U
U
Holtmann
G
G
Eigler
F W
FW
D000368:Aged; D001158:Arteries / Q000601:surgery; D001658:Biliary Fistula / Q000150:complications* / Q000601:surgery; D002763:Cholecystectomy; D002764:Cholecystitis / Q000150:complications* / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000601:surgery; D005260:Female; D005704:Gallbladder / Q000098:blood supply; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000601:surgery; D007416:Intestinal Perforation / Q000150:complications* / Q000601:surgery; D009336:Necrosis
Obere gastrointestinal Blutung durch nekrotisierende Cholecystitis mit Gallensteinperforation ins Duodenum.